Most Relevant Information
Provider Data
| NPI Number: | 1003028861 |
| Provider Name: | MATTHEW PATRICK DALE DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | D10980 |
Most Important Dates
| Enumeration Date: | 05/04/2007 |
| Last Updated: | 07/03/2019 |
Provider Practice Location
21410 136TH AVE NORTH SUITE #109
ROGERS
MN
55374
Practice Location Phone/Fax
| Phone: | 7634282217 |
| Fax: | 7634288586 |
Provider Mailing Location
21410 136TH AVE NORTH SUITE #109
ROGERS
MN
55374
Provider Mailing Phone/Fax
| Phone: | 7634282217 |
| Fax: | 7634288586 |